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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:

期数:

2022年5期

页码:

45-48

栏目:

出版日期:

2022-05-10

文章信息/Info

Title:

Effects of Thinning Anterolateral Thigh Perforator Flap in the Soft Tissue Reconstruction of Ankle

文章编号:

1008-6455（2022）05-0045-04

作者:

雷德会¹; 邹拥军²; 张晓玲¹

(攀枝花市中西医结合医院 1. 足踝肩肘科;2.足踝外科 四川 攀枝花 617000 )

Author(s):

LEI Dehui¹; ZOU Yongjun²; ZHANG Xiaoling¹

(1.Department of Foot,Ankle,Shoulder and Elbow;2.Department of Foot and Ankle Surgery,Panzhihua Integrated Traditional Chinese and Western Medicine Hospital,Panzhihua 617000,Sichuan,China)

关键词:

软组织损伤; 足踝部; 穿支皮瓣; 移植; 踝关节; 感觉功能

Keywords:

soft tissue injury;  foot and ankle;  perforator flap;  transplantation;  ankle;  sensory function

分类号:

R622+.1

文献标志码:

A

摘要:

目的：探讨削薄股前外侧穿支皮瓣在足踝部软组织重建中的治疗效果。方法：选择笔者医院2018年10月-2020年8月收治的足踝部软组织损伤患者106例，按照治疗方案分为两组，对照组53例采用传统股前外侧穿支皮瓣修复重建足踝部软组织，观察组53例采用削薄股前外侧穿支皮瓣修复重建足踝部软组织。比较两组的治疗总有效率，围术期指标，术区感觉功能，踝关节功能，并发症，美观效果满意度。结果：观察组总有效率略高于对照组，但组间对比差异无统计学意义（P＞0.05）。两组手术时间差异无统计学意义（P＞0.05），观察组的住院时间、创面愈合时间显著短于对照组（P＜0.05）。术后观察组感觉功能S3+、S4的患者比例显著高于对照组（P＜0.05）。术前两组踝关节Kofoed量表评分差异无统计学意义（P＞0.05），术后两组Kofoed评分均显著升高，并且观察组显著高于对照组（P＜0.05）。对照组、观察组的并发症发生率对比差异无统计学意义（P＞0.05）。观察组美观效果满意度显著高于对照组（P＜0.05）。结论：削薄股前外侧穿支皮瓣在足踝部软组织重建中的治疗效果满意，能够加速患者康复，并且更好地改善患者的术区感觉功能、踝关节功能，并发症少，美观效果满意，值得推广。

Abstract:

Objective To discuss the therapeutic effect of thinning anterolateral thigh perforator flap in the soft tissue reconstruction of ankle. Methods 106 patients with soft tissue injury of foot and ankle who were admitted to our hospital fromOctober 2018 to August 2020 were selected, they were divided into two groups according to the treatment plan, 53 patients in the control group used traditional anterolateral thigh perforator flap to repair and reconstruct the soft tissue of foot and ankle,53 cases in the observation group used thinning anterolateral thigh perforator flap to repair and reconstruct the soft tissue of ankle. The total effective rate, operation time, hospitalization, wound healing time, sensory function of the operation area, ankle joint function, complications, aesthetic effect satisfaction of treatment between two groups were compared. Results The total effective rate in the observation group was slightly higher than that in the control group, but there was no significant difference betwee n the groups (P＞0.05). There was no significant difference in operation time between the two groups (P＞0.05), and the hospitalization time and wound healing time of the observation group were significantly shorter than those of the control group (P＜0.05). The proportion of patients with sensory function S3+ and S4 in the observation group after operation was significantly higher than that in the control group (P ＜0.05). There was no significant difference in the ankle Kofoed scale scores between the two groups before operation (P＞0.05), and the Kofoed scores in the two groups were significantly increased after operation, and the observation group was significantly higher than the control group (P＜0.05). There was no significant difference in the incidence of complications between the control group and the observation group (P＞0.05). The satisfaction of aesthetic effect in the observation group was significantly higher than that in the control group (P＜0.05). Conclusion Thinning anterolateral thigh perforator flap in the soft tissue reconstruction of ankle has a satisfactory therapeutic effect, it can accelerate the patient’s recovery, and better improve the patient’s operative area sensory function and ankle joint function, with fewer complications and satisfactory aesthetic effects, it is worth promoting.

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更新日期/Last Update: 2022-05-30